OBJECTIVE: We present a rare case of an isolated superior orbital fissure fracture resulting from blunt injury to the face and presenting with selective cranial nerve deficits surgically treated with a neuroendoscopic approach. The anatomy of the superior orbital fissure is detailed, and the peculiarities of the surgical approach described. METHOD: A review of the existing literature reveals this is the first reported case of a neuronavigation-assisted endoscopic approach used in the extraction of a superior orbital fracture fragment with good outcome. Current guidelines for an endoscopic approach in orbital trauma are reviewed, and pertinent literature is discussed. CONCLUSION: Neuronavigation-assisted decompression should be considered as an effective means of removing superior orbital fissure fractures.
OBJECTIVE: We present a rare case of an isolated superior orbital fissure fracture resulting from blunt injury to the face and presenting with selective cranial nerve deficits surgically treated with a neuroendoscopic approach. The anatomy of the superior orbital fissure is detailed, and the peculiarities of the surgical approach described. METHOD: A review of the existing literature reveals this is the first reported case of a neuronavigation-assisted endoscopic approach used in the extraction of a superior orbital fracture fragment with good outcome. Current guidelines for an endoscopic approach in orbital trauma are reviewed, and pertinent literature is discussed. CONCLUSION: Neuronavigation-assisted decompression should be considered as an effective means of removing superior orbital fissure fractures.
Entities:
Keywords:
Orbital trauma; neuroendoscopy; neuronavigation; superior orbital fissure
Authors: L Giaoui; R Lockhart; F Lafitte; B Girard; L Chikani; G Fleuridas; J C Bertrand; F Guilbert Journal: J Fr Ophtalmol Date: 2001-03 Impact factor: 0.818